J Dent Rehabil Appl Sci.  2018 Dec;34(4):338-344. 10.14368/jdras.2018.34.4.338.

Stability of periodontally compromised teeth after splint and non-surgical therapy: two cases followed-up for 1 to 3 years

• Kim YT
• Park YS
• Kim DH
• Jeong SN
• Lee JH

• KMID: 2432371
• DOI: http://doi.org/10.14368/jdras.2018.34.4.338

Abstract

This article describes cases of applying non-surgical treatment including scaling and root planing, occlusal adjustment and tooth splinting of periodontally compromised lower anterior incisors Clinical and radiographic evaluations were performed over a 1-3-year period. All clinical parameters and radiographic bone levels improved in both cases. Dramatic regeneration of alveolar bone and lamina dura were observed on radiographic images, and no specific complications occurred during the follow-up period. Within the limitations of this study, these cases demonstrated the possibility of tooth rescue through non-surgical treatment and splinting of periodontally compromised teeth typically considered for extraction.

Keyword

bone regeneration; traumatic dental occlusion; occlusal adjustment; periodontal splints

MeSH Terms

Bone Regeneration
Dental Occlusion, Traumatic
Follow-Up Studies
Incisor
Occlusal Adjustment
Periodontal Splints
Regeneration
Root Planing
Splints*
Tooth*

Figure

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  Fig. 1 Clinical parameters evaluated and the time points at which they were measured in the study.

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  Fig. 2 Periapical radiography: (A) Initial radiography showing a periapical radiolucency and severe bone loss of the mandibular left central incisor, which has subgingival calculus deposition. (B - D) Follow up, 6 months (B), 2 years (C), 3 years (D) after periodontal treatment and occlusal adjustment with resin wire splint.

• 

  Fig. 3 Periapical radiography: (A) Initial radiography showing a severe bone loss of the both mandibular central incisors, which have subgingival calculus deposition. (B, C) Follow up, 6 months (B), 1 year (C) after periodontal treatment and occlusal adjustment with resin wire splint.

Reference

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